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Efficacy and Safety of LCZ696 in Comparison to Olmesartan in Elderly Patients With Essential Hypertension

A 14 Week, Randomized, Double-blind, Multi-center, Parallel Group, Active Controlled Study to Evaluate the Efficacy and Safety of LCZ696 in Comparison to Olmesartan in Elderly Patients With Essential Hypertension

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01615198
Enrollment
588
Registered
2012-06-08
Start date
2012-08-31
Completion date
2013-07-31
Last updated
2015-10-23

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Essential Hypertension

Keywords

Hypertension, blood pressure, LCZ696, dual inhibitor, neprilysin, NEP inhibition, vasopeptidase, ARNi, angiotensin receptor

Brief summary

The purpose of this study is to access the efficacy and safety of LCZ696 compared to olmesartan in elderly Asian patients for the treatment of hypertension.

Interventions

DRUGOlmesartan

10 mg, 20 mg, 40 mg capsules

DRUGPlacebo

Matching placebo of LCZ696 tablet, matching placebo of Olmesartan capsule

DRUGLCZ696

100 mg, 200 mg tablets

Sponsors

Novartis Pharmaceuticals
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)

Eligibility

Sex/Gender
ALL
Age
65 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Patients must give written informed consent before any assessment is performed * Patients with essential hypertension, untreated or currently taking antihypertensive therapy must have a mean sitting systolic blood pressure ≥ 150 mmHg and \< 180 mmHg * Patients must be able to communicate and comply with all study requirements and demonstrate good medication compliance

Exclusion criteria

* Patients with severe hypertension (msDBP ≥ 110 mmHg and/or msSBP ≥180 mmHg). Patients with history of angioedema, drug-related or otherwise * Patients with history or evidence of a secondary form of hypertension * Transient ischemic cerebral attack (TIA) during the 12 months prior to Visit 1 or any history of stroke * History of myocardial infarction, coronary bypass surgery or any percutaneous coronary intervention (PCI) during the 12 months prior to Visit 1. * Current angina pectoris requiring medication (other than patients on a stable dose of oral or topical nitrates). * Patients with Type 1 or Type 2 diabetes mellitus who are not well controlled and are not on a stable dose of antidiabetic medication * Patients with previous or current diagnosis of heart failure (NYHA Class II-IV). * Patients with a clinically significant valvular heart disease at the time of screening * Women of child-bearing potential, who do not use adequate birth control methods Other protocol-defined inclusion/

Design outcomes

Primary

MeasureTime frameDescription
Change From Baseline in Mean Sitting Systolic Blood Pressure (msSBP)Baseline, 10 weeksSitting BP measurements were performed at trough (immediately prior to dosing at the clinic). At study entry, BP was measured in both arms. The arm with the higher SBP reading was used for the 4 measurements at screening visit and the same arm was used at all subsequent visits. A negative change from baseline indicates improvement.

Secondary

MeasureTime frameDescription
Change From Baseline in Mean Sitting Systolic Blood Pressure (msSBP) and Mean Sitting Diastolic Blood Pressure (msDBP)Baseline, 4 weeks, 14 weeksSitting BP measurements were performed at trough (immediately prior to dosing at the clinic). At study entry, BP was measured in both arms. The arm with the higher SBP reading was used for the 4 measurements at screening visit and the same arm was used at all subsequent visits. A negative change from baseline indicated improvement.
Change in Baseline in Mean 24 Hour Ambulatory Diastolic Blood Pressure (maDBP)Baseline, 10 weeksABPM over a 24-hour period was conducted at two time-points during the study in a subset of participants. Readings were taken every 20 minutes over the 24 hour period in the non-dominant arm. A negative change from baseline indicates improvement.
Change From Baseline in Mean Sitting Diastolic Blood Pressure (msDBP)Baseline, 10 weeksSitting BP measurements was performed at trough (immediately prior to dosing at the clinic). At study entry, BP was measured in both arms. The arm with the higher SBP reading was used for the 4 measurements at screening visit and the same arm was used at all subsequent visits. A negative change from baseline indicates improvement.
Change From Baseline in Mean Sitting Pulse PressureBaseline, 4 weeks, 10 weeks, 14 weeksPulse rate was with automated BP device after the 4th blood pressure measurement at each visit.
Change From Baseline in Daytime and Nighttime maSBP/maDBPBaseline, 10 weeksABPM over a 24-hour period was conducted at two time-points during the study in a subset of participants. Readings were taken every 20 minutes over the 24 hour period in the non-dominant arm. A negative change from baseline indicates improvement.
Change From Baseline in Mean 24 Hour Ambulatory Systolic Blood Pressure (maSBP)Baseline, 10 weeksABPM over a 24-hour period was conducted at two time-points during the study in a subset of participants. Readings were taken every 20 minutes over the 24 hour period in the non-dominant arm. A negative change from baseline indicates improvement.
Change From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) Status in Non-dippersBaseline, 10 weeksABPM over a 24-hour period was conducted at two time-points during the study in a subset of participants. Readings were taken every 20 minutes over the 24 hour period in the non-dominant arm. A non-dipper was defined as a participant who, at baseline, had a mean nighttime ABPM (10 pm - 6 am) that did not drop ≥ 10% below his or her mean daytime ABPM (6 am - 10 pm). A negative change from baseline indicates improvement.
Number of Participants Achieving Overall Blood Pressure Control in Mean Sitting Systolic Blood Pressure (msSBP) and Mean Sitting Diastolic Blood Pressure (msDBP)4 weeks, 10 weeks, 14 weeksA successful response in overall BP control rate was defined as msSBP \< 140 mmHg and msDBP \<90 mmHg.
Number of Participants Achieving Successful Response in msSBP and msDBP4 weeks,10 weeks, 14 weeksBlood pressure response in msSBP was defined as a mean sitting BP \< 140 mmHg or a \>=20 mmHg reduction from baseline. Blood pressure response in msDBP was defined as a mean sitting diastolic blood pressure, 90 mmHg or \>=10 mmHg reduction from baseline.
Number of Participants With Adverse Events, Serious Adverse Events and Death14 weeksAdverse event monitoring was conducted throughout the study.
Change From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) in DippersBaseline, 10 weeksABPM over a 24-hour period was conducted at two time-points during the study in a subset of participants. Readings were taken every 20 minutes over the 24 hour period in the non-dominant arm. A non-dipper was defined as a participant who, at baseline, had a mean nighttime ABPM (10 pm - 6 am) that did not drop ≥ 10% below his or her mean daytime ABPM (6 am - 10 pm). A negative change from baseline indicates improvement.

Countries

China, Hong Kong, Japan, Philippines, South Korea, Taiwan, Thailand

Participant flow

Participants by arm

ArmCount
LCZ696
Participants were treated with one LCZ696 100 mg tablet and one placebo of LCZ696 every day (qd) for 4 weeks along with placebo of Olmesartan 10 mg capsule qd. Participants were then up-titrated to LCZ 200 mg tablet and one placebo of LCZ696 qd for 6 weeks along with placebo of Olmesartan 20 mg capsule qd. Participants, who did not achieve their goal BP, were uptitrated to 2 LCZ696 200 mg tablets (LCZ696 400 mg) qd for 4 weeks along with placebo of Olmesartan 40 mg capsule qd.
296
Olmesartan
Participants were treated with olmesartan 10 mg qd for 4 weeks along with 2 placebo of LCZ696 tablets qd. Participants were then uptitrated to olmesartan 20 mg qd for 6 weeks along with 2 placebo of LCZ696 tablets qd. Participants, who did not achieve their goal BP, were uptitrated to olmesartan 40 mg qd for the remaining 4 weeks and 2 placebo LCZ696 tablets qd.
292
Total588

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyAdverse Event115
Overall StudyLack of Efficacy16
Overall StudyLost to Follow-up11
Overall StudyPhysician Decision51
Overall StudyProtocol deviation11
Overall StudyWithdrawal by Subject55

Baseline characteristics

CharacteristicLCZ696OlmesartanTotal
Age, Continuous70.5 Years
STANDARD_DEVIATION 4.67
70.9 Years
STANDARD_DEVIATION 4.67
70.7 Years
STANDARD_DEVIATION 4.67
Sex: Female, Male
Female
154 Participants140 Participants294 Participants
Sex: Female, Male
Male
142 Participants152 Participants294 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
49 / 29644 / 292
serious
Total, serious adverse events
7 / 2962 / 292

Outcome results

Primary

Change From Baseline in Mean Sitting Systolic Blood Pressure (msSBP)

Sitting BP measurements were performed at trough (immediately prior to dosing at the clinic). At study entry, BP was measured in both arms. The arm with the higher SBP reading was used for the 4 measurements at screening visit and the same arm was used at all subsequent visits. A negative change from baseline indicates improvement.

Time frame: Baseline, 10 weeks

Population: Only participants, who had both baseline and week 10 values, were included in the analysis. The FAS included all randomized participants who received study medication and had post baseline BP assessments.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
LCZ696Change From Baseline in Mean Sitting Systolic Blood Pressure (msSBP)-22.71 mmHgStandard Error 0.91
OlmesartanChange From Baseline in Mean Sitting Systolic Blood Pressure (msSBP)-16.11 mmHgStandard Error 0.92
Secondary

Change From Baseline in Daytime and Nighttime maSBP/maDBP

ABPM over a 24-hour period was conducted at two time-points during the study in a subset of participants. Readings were taken every 20 minutes over the 24 hour period in the non-dominant arm. A negative change from baseline indicates improvement.

Time frame: Baseline, 10 weeks

Population: A subset of participants, who participated in ambulatory blood pressure monitoring, was analyzed.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
LCZ696Change From Baseline in Daytime and Nighttime maSBP/maDBPmaDBP, daytime-7.04 mmHgStandard Error 0.55
LCZ696Change From Baseline in Daytime and Nighttime maSBP/maDBPmaSBP, daytime-14.32 mmHgStandard Error 0.96
LCZ696Change From Baseline in Daytime and Nighttime maSBP/maDBPmaDBP, nighttime-6.70 mmHgStandard Error 0.55
LCZ696Change From Baseline in Daytime and Nighttime maSBP/maDBPmaSBP, nighttime-13.97 mmHgStandard Error 0.96
OlmesartanChange From Baseline in Daytime and Nighttime maSBP/maDBPmaDBP, nighttime-3.61 mmHgStandard Error 0.56
OlmesartanChange From Baseline in Daytime and Nighttime maSBP/maDBPmaSBP, daytime-10.02 mmHgStandard Error 0.96
OlmesartanChange From Baseline in Daytime and Nighttime maSBP/maDBPmaDBP, daytime-4.88 mmHgStandard Error 0.56
OlmesartanChange From Baseline in Daytime and Nighttime maSBP/maDBPmaSBP, nighttime-7.68 mmHgStandard Error 0.96
Secondary

Change From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) in Dippers

ABPM over a 24-hour period was conducted at two time-points during the study in a subset of participants. Readings were taken every 20 minutes over the 24 hour period in the non-dominant arm. A non-dipper was defined as a participant who, at baseline, had a mean nighttime ABPM (10 pm - 6 am) that did not drop ≥ 10% below his or her mean daytime ABPM (6 am - 10 pm). A negative change from baseline indicates improvement.

Time frame: Baseline, 10 weeks

Population: A subset of ABPM participants were considered for the analysis. For each post-dosing hour, only participants with values at baseline and the post dosing hour end point were included in the analysis for that end point.

ArmMeasureGroupValue (MEAN)Dispersion
LCZ696Change From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) in DippersmaSBP, hour 5 (n=61,67)-16.70 mmHgStandard Deviation 17.689
LCZ696Change From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) in DippersmaSBP, hour 18 (n=61,68)-11.19 mmHgStandard Deviation 16.482
LCZ696Change From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) in DippersmaDBP, hour 17 (n=62,68)-5.71 mmHgStandard Deviation 12.089
LCZ696Change From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) in DippersmaSBP, hour 19 (n=62,68)-12.38 mmHgStandard Deviation 15.01
LCZ696Change From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) in DippersmaSBP, hour 6 (n=62,68)-18.11 mmHgStandard Deviation 17.856
LCZ696Change From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) in DippersmaSBP, hour 20 (n=62,68)-15.18 mmHgStandard Deviation 16.683
LCZ696Change From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) in DippersmaSBP, hour 16 (n=62,68)-9.90 mmHgStandard Deviation 17.994
LCZ696Change From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) in DippersmaSBP, hour 21 (n=62,67)-13.71 mmHgStandard Deviation 19.977
LCZ696Change From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) in DippersmaSBP, hour 7 (n=62,68)-17.60 mmHgStandard Deviation 18.33
LCZ696Change From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) in DippersmaSBP, hour 22 (n=62,68)-19.28 mmHgStandard Deviation 19.387
LCZ696Change From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) in DippersmaDBP, hour 18 (n=61,68)-5.36 mmHgStandard Deviation 11.213
LCZ696Change From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) in DippersmaSBP, hour 23 (n=60,66)-16.88 mmHgStandard Deviation 15.442
LCZ696Change From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) in DippersmaSBP, hour 8 (n=62,67)-15.81 mmHgStandard Deviation 15.872
LCZ696Change From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) in DippersmaDBP, hour 4 (n=62,68)-7.35 mmHgStandard Deviation 10.656
LCZ696Change From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) in DippersmaDBP, hour 2 (n=62,66)-9.13 mmHgStandard Deviation 9.854
LCZ696Change From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) in DippersmaSBP, hour 9 (n=62,68)-14.06 mmHgStandard Deviation 12.877
LCZ696Change From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) in DippersmaDBP, hour 3 (n=62,68)-8.41 mmHgStandard Deviation 11.698
LCZ696Change From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) in DippersmaDBP, hour 5 (n=61,67)-8.17 mmHgStandard Deviation 10.919
LCZ696Change From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) in DippersmaDBP, hour 19 (n=62,68)-6.10 mmHgStandard Deviation 11.197
LCZ696Change From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) in DippersmaDBP, hour 6 (n=62,68)-8.39 mmHgStandard Deviation 10.623
LCZ696Change From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) in DippersmaSBP, hour 10 (n=62,68)-15.55 mmHgStandard Deviation 15.232
LCZ696Change From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) in DippersmaDBP, hour 7 (n=62,68)-9.14 mmHgStandard Deviation 11.35
LCZ696Change From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) in DippersmaDBP, hour 9 (n=62,68)-7.01 mmHgStandard Deviation 9.374
LCZ696Change From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) in DippersmaSBP, hour 24 (n=57,67)-17.28 mmHgStandard Deviation 13.472
LCZ696Change From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) in DippersmaDBP, hour 10 (n=62,68)-7.83 mmHgStandard Deviation 9.907
LCZ696Change From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) in DippersmaSBP, hour 11 (n=62,68)-13.17 mmHgStandard Deviation 17.903
LCZ696Change From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) in DippersmaDBP, hour 11 (n=62,68)-8.08 mmHgStandard Deviation 10.588
LCZ696Change From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) in DippersmaSBP, hour 1 (n=58,66)-18.48 mmHgStandard Deviation 14.55
LCZ696Change From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) in DippersmaDBP, hour 12 (n=62,68)-7.38 mmHgStandard Deviation 11.993
LCZ696Change From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) in DippersmaSBP, hour 12 (n=62,68)-12.36 mmHgStandard Deviation 17.222
LCZ696Change From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) in DippersmaDBP, hour 13 (n=-62,68)-4.36 mmHgStandard Deviation 11.325
LCZ696Change From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) in DippersmaSBP, hour 4 (n=62,68)-16.90 mmHgStandard Deviation 16.539
LCZ696Change From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) in DippersmaDBP, hour 14 (n=62,68)-2.70 mmHgStandard Deviation 13.661
LCZ696Change From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) in DippersmaSBP, hour 13 (n=62,68)-8.71 mmHgStandard Deviation 19.359
LCZ696Change From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) in DippersmaDBP, hour 15 (n=62,67)-4.02 mmHgStandard Deviation 12.943
LCZ696Change From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) in DippersmaSBP, hour 2 (n=62,66)-20.75 mmHgStandard Deviation 15.713
LCZ696Change From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) in DippersmaDBP, hour 16 (n=62,68)-4.84 mmHgStandard Deviation 13.097
LCZ696Change From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) in DippersmaSBP, hour 14 (n=62,68)-7.10 mmHgStandard Deviation 20.651
LCZ696Change From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) in DippersmaDBP, hour 20 (n=62,68)-6.75 mmHgStandard Deviation 10.878
LCZ696Change From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) in DippersmaDBP, hour 8 (n=62,67)-7.50 mmHgStandard Deviation 9.68
LCZ696Change From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) in DippersmaDBP, hour 21 (n=62,67)-6.91 mmHgStandard Deviation 12.251
LCZ696Change From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) in DippersmaSBP, hour 15 (n=62,67)-9.05 mmHgStandard Deviation 18.528
LCZ696Change From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) in DippersmaDBP, hour 22 (n=62,68)-10.22 mmHgStandard Deviation 11.394
LCZ696Change From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) in DippersmaSBP, hour 3 (n=62,68)-17.44 mmHgStandard Deviation 18.884
LCZ696Change From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) in DippersmaDBP, hour 23 (n=60,66)-7.85 mmHgStandard Deviation 9.03
LCZ696Change From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) in DippersmaDBP, hour 1 (n=58,66)-8.34 mmHgStandard Deviation 9.64
LCZ696Change From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) in DippersmaDBP, hour 24 (n=57,67)-7.83 mmHgStandard Deviation 10.057
LCZ696Change From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) in DippersmaSBP, hour 17 (n=62,68)-9.88 mmHgStandard Deviation 16.098
OlmesartanChange From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) in DippersmaDBP, hour 24 (n=57,67)-6.62 mmHgStandard Deviation 10.418
OlmesartanChange From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) in DippersmaSBP, hour 24 (n=57,67)-16.03 mmHgStandard Deviation 19.076
OlmesartanChange From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) in DippersmaDBP, hour 3 (n=62,68)-8.21 mmHgStandard Deviation 9.857
OlmesartanChange From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) in DippersmaDBP, hour 4 (n=62,68)-8.98 mmHgStandard Deviation 9.835
OlmesartanChange From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) in DippersmaDBP, hour 7 (n=62,68)-7.35 mmHgStandard Deviation 12.345
OlmesartanChange From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) in DippersmaDBP, hour 8 (n=62,67)-8.50 mmHgStandard Deviation 10.839
OlmesartanChange From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) in DippersmaDBP, hour 17 (n=62,68)-3.74 mmHgStandard Deviation 11.261
OlmesartanChange From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) in DippersmaDBP, hour 18 (n=61,68)-1.65 mmHgStandard Deviation 8.939
OlmesartanChange From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) in DippersmaDBP, hour 19 (n=62,68)-3.42 mmHgStandard Deviation 9.726
OlmesartanChange From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) in DippersmaSBP, hour 1 (n=58,66)-14.15 mmHgStandard Deviation 15.677
OlmesartanChange From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) in DippersmaSBP, hour 2 (n=62,66)-17.26 mmHgStandard Deviation 16.843
OlmesartanChange From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) in DippersmaSBP, hour 4 (n=62,68)-14.83 mmHgStandard Deviation 17.823
OlmesartanChange From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) in DippersmaSBP, hour 5 (n=61,67)-16.16 mmHgStandard Deviation 19.46
OlmesartanChange From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) in DippersmaSBP, hour 6 (n=62,68)-15.00 mmHgStandard Deviation 19.025
OlmesartanChange From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) in DippersmaSBP, hour 7 (n=62,68)-14.74 mmHgStandard Deviation 20.142
OlmesartanChange From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) in DippersmaSBP, hour 8 (n=62,67)-16.37 mmHgStandard Deviation 17.552
OlmesartanChange From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) in DippersmaSBP, hour 9 (n=62,68)-13.55 mmHgStandard Deviation 19.456
OlmesartanChange From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) in DippersmaSBP, hour 10 (n=62,68)-13.50 mmHgStandard Deviation 17.522
OlmesartanChange From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) in DippersmaSBP, hour 11 (n=62,68)-13.32 mmHgStandard Deviation 18.198
OlmesartanChange From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) in DippersmaSBP, hour 12 (n=62,68)-13.43 mmHgStandard Deviation 20.898
OlmesartanChange From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) in DippersmaSBP, hour 13 (n=62,68)-10.84 mmHgStandard Deviation 19.697
OlmesartanChange From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) in DippersmaSBP, hour 14 (n=62,68)-9.96 mmHgStandard Deviation 19.663
OlmesartanChange From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) in DippersmaSBP, hour 15 (n=62,67)-8.68 mmHgStandard Deviation 17.094
OlmesartanChange From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) in DippersmaSBP, hour 16 (n=62,68)-7.81 mmHgStandard Deviation 16.344
OlmesartanChange From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) in DippersmaSBP, hour 17 (n=62,68)-5.49 mmHgStandard Deviation 15.031
OlmesartanChange From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) in DippersmaSBP, hour 18 (n=61,68)-4.88 mmHgStandard Deviation 13.065
OlmesartanChange From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) in DippersmaSBP, hour 19 (n=62,68)-6.69 mmHgStandard Deviation 15.146
OlmesartanChange From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) in DippersmaSBP, hour 20 (n=62,68)-9.40 mmHgStandard Deviation 18.217
OlmesartanChange From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) in DippersmaSBP, hour 21 (n=62,67)-9.04 mmHgStandard Deviation 15.748
OlmesartanChange From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) in DippersmaSBP, hour 22 (n=62,68)-9.61 mmHgStandard Deviation 18.94
OlmesartanChange From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) in DippersmaSBP, hour 23 (n=60,66)-10.54 mmHgStandard Deviation 19.47
OlmesartanChange From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) in DippersmaDBP, hour 1 (n=58,66)-7.30 mmHgStandard Deviation 8.732
OlmesartanChange From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) in DippersmaDBP, hour 2 (n=62,66)-7.80 mmHgStandard Deviation 10.747
OlmesartanChange From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) in DippersmaDBP, hour 5 (n=61,67)-8.35 mmHgStandard Deviation 10.282
OlmesartanChange From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) in DippersmaDBP, hour 6 (n=62,68)-8.09 mmHgStandard Deviation 12.36
OlmesartanChange From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) in DippersmaDBP, hour 9 (n=62,68)-6.65 mmHgStandard Deviation 12.287
OlmesartanChange From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) in DippersmaDBP, hour 10 (n=62,68)-6.70 mmHgStandard Deviation 11.536
OlmesartanChange From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) in DippersmaDBP, hour 11 (n=62,68)-6.65 mmHgStandard Deviation 11.023
OlmesartanChange From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) in DippersmaDBP, hour 12 (n=62,68)-7.64 mmHgStandard Deviation 13.479
OlmesartanChange From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) in DippersmaDBP, hour 13 (n=-62,68)-7.16 mmHgStandard Deviation 12.916
OlmesartanChange From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) in DippersmaDBP, hour 14 (n=62,68)-6.28 mmHgStandard Deviation 10.794
OlmesartanChange From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) in DippersmaDBP, hour 15 (n=62,67)-3.05 mmHgStandard Deviation 11.417
OlmesartanChange From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) in DippersmaDBP, hour 16 (n=62,68)-3.88 mmHgStandard Deviation 10.015
OlmesartanChange From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) in DippersmaDBP, hour 20 (n=62,68)-4.00 mmHgStandard Deviation 12.452
OlmesartanChange From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) in DippersmaDBP, hour 21 (n=62,67)-4.40 mmHgStandard Deviation 9.746
OlmesartanChange From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) in DippersmaDBP, hour 22 (n=62,68)-4.48 mmHgStandard Deviation 11.019
OlmesartanChange From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) in DippersmaDBP, hour 23 (n=60,66)-5.11 mmHgStandard Deviation 9.826
OlmesartanChange From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) in DippersmaSBP, hour 3 (n=62,68)-12.65 mmHgStandard Deviation 18.923
Secondary

Change From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) Status in Non-dippers

ABPM over a 24-hour period was conducted at two time-points during the study in a subset of participants. Readings were taken every 20 minutes over the 24 hour period in the non-dominant arm. A non-dipper was defined as a participant who, at baseline, had a mean nighttime ABPM (10 pm - 6 am) that did not drop ≥ 10% below his or her mean daytime ABPM (6 am - 10 pm). A negative change from baseline indicates improvement.

Time frame: Baseline, 10 weeks

Population: A subset of ABPM participants were considered for the analysis. For each post-dosing hour, only participants with values at baseline and the post dosing hour end point were included in the analysis for that end point.

ArmMeasureGroupValue (MEAN)Dispersion
LCZ696Change From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) Status in Non-dippersmaSBP, hour 3 (n=90,88)-13.17 mmHgStandard Deviation 15.69
LCZ696Change From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) Status in Non-dippersmaSBP, hour 12 (n=92,88)-13.82 mmHgStandard Deviation 17.493
LCZ696Change From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) Status in Non-dippersmaSBP, hour 15 (n=92,89)-19.33 mmHgStandard Deviation 19.863
LCZ696Change From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) Status in Non-dippersmaSBP, hour 20 (n=92,89)-15.33 mmHgStandard Deviation 15.556
LCZ696Change From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) Status in Non-dippersmaSBP, hour 23 (n=92,85)-10.93 mmHgStandard Deviation 14.121
LCZ696Change From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) Status in Non-dippersmaSBP, hour 24 (n=86,85)-14.19 mmHgStandard Deviation 15.072
LCZ696Change From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) Status in Non-dippersmsDBP, hour 2 (n=89,85)-7.39 mmHgStandard Deviation 10.516
LCZ696Change From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) Status in Non-dippersmsDBP, hour 3 (n=90,88)-6.61 mmHgStandard Deviation 10.473
LCZ696Change From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) Status in Non-dippersmsDBP, hour 4 (n=91,88)-7.08 mmHgStandard Deviation 9.826
LCZ696Change From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) Status in Non-dippersmsDBP, hour 15 (n=92,89)-9.60 mmHgStandard Deviation 13.266
LCZ696Change From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) Status in Non-dippersmsDBP, hour 21 (n=91,89)-7.63 mmHgStandard Deviation 10.871
LCZ696Change From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) Status in Non-dippersmaSBP, hour 1 (n=84,84)-13.42 mmHgStandard Deviation 16.05
LCZ696Change From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) Status in Non-dippersmaSBP, hour 2 (n=89,85)-15.60 mmHgStandard Deviation 18.144
LCZ696Change From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) Status in Non-dippersmaSBP, hour 4 (n=91,88)-13.93 mmHgStandard Deviation 17.26
LCZ696Change From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) Status in Non-dippersmaSBP, hour 5 (n=90,88)-12.90 mmHgStandard Deviation 19.372
LCZ696Change From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) Status in Non-dippersmaSBP, hour 6 (n=90,89)-12.96 mmHgStandard Deviation 22.547
LCZ696Change From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) Status in Non-dippersmaSBP, hour 7 (n=91,89)-12.68 mmHgStandard Deviation 21.126
LCZ696Change From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) Status in Non-dippersmaSBP, hour 8 (n=91,88)-12.65 mmHgStandard Deviation 18.45
LCZ696Change From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) Status in Non-dippersmaSBP, hour 9 (n=91,89)-13.51 mmHgStandard Deviation 17.381
LCZ696Change From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) Status in Non-dippersmaSBP, hour 10 (n=92,89)-12.96 mmHgStandard Deviation 17.35
LCZ696Change From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) Status in Non-dippersmaSBP, hour 11 (n=92,89)-12.69 mmHgStandard Deviation 18.724
LCZ696Change From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) Status in Non-dippersmaSBP, hour 13 (n=92,89)-16.51 mmHgStandard Deviation 16.485
LCZ696Change From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) Status in Non-dippersmaSBP, hour 14 (n=92,88)-19.39 mmHgStandard Deviation 16.86
LCZ696Change From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) Status in Non-dippersmaSBP, hour 16 (n=92,89)-17.95 mmHgStandard Deviation 18.731
LCZ696Change From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) Status in Non-dippersmaSBP, hour 17 (n=92,89)-17.34 mmHgStandard Deviation 17.015
LCZ696Change From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) Status in Non-dippersmaSBP, hour 18 (n=92,88)-16.45 mmHgStandard Deviation 16.439
LCZ696Change From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) Status in Non-dippersmaSBP, hour 19 (n=91,89)-15.81 mmHgStandard Deviation 16.349
LCZ696Change From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) Status in Non-dippersmaSBP, hour 21 (n=91,89)-14.78 mmHgStandard Deviation 15.79
LCZ696Change From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) Status in Non-dippersmaSBP, hour 22 (n=91,89)-13.99 mmHgStandard Deviation 15.653
LCZ696Change From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) Status in Non-dippersmsDBP, hour 1 (n=84,84)-7.01 mmHgStandard Deviation 9.033
LCZ696Change From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) Status in Non-dippersmsDBP, hour 5 (n=90,88)-5.75 mmHgStandard Deviation 13.156
LCZ696Change From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) Status in Non-dippersmsDBP, hour 6 (n=90,89)-7.06 mmHgStandard Deviation 13.704
LCZ696Change From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) Status in Non-dippersmsDBP, hour 7 (n=91,89)-5.69 mmHgStandard Deviation 12.453
LCZ696Change From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) Status in Non-dippersmsDBP, hour 8 (n=91,88)-6.13 mmHgStandard Deviation 10.42
LCZ696Change From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) Status in Non-dippersmsDBP, hour 9 (n=91,89)-7.05 mmHgStandard Deviation 10.348
LCZ696Change From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) Status in Non-dippersmsDBP, hour 10 (n=92,89)-5.28 mmHgStandard Deviation 10.221
LCZ696Change From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) Status in Non-dippersmsDBP, hour 11 (n=92,89)-6.18 mmHgStandard Deviation 11.825
LCZ696Change From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) Status in Non-dippersmsDBP, hour 12 (n=92,88)-6.36 mmHgStandard Deviation 11.313
LCZ696Change From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) Status in Non-dippersmsDBP, hour 13 (n=92,89)-8.63 mmHgStandard Deviation 11.364
LCZ696Change From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) Status in Non-dippersmsDBP, hour 14 (n=92,88)-9.68 mmHgStandard Deviation 11.518
LCZ696Change From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) Status in Non-dippersmsDBP, hour 16 (n=92,89)-8.48 mmHgStandard Deviation 11.992
LCZ696Change From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) Status in Non-dippersmsDBP, hour 17 (n=92,89)-7.60 mmHgStandard Deviation 9.661
LCZ696Change From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) Status in Non-dippersmsDBP, hour 18 (n=92,88)-8.60 mmHgStandard Deviation 11.526
LCZ696Change From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) Status in Non-dippersmsDBP, hour 19 (n=91,89)-7.46 mmHgStandard Deviation 10.284
LCZ696Change From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) Status in Non-dippersmsDBP, hour 20 (n=92,89)-6.21 mmHgStandard Deviation 10.295
LCZ696Change From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) Status in Non-dippersmsDBP, hour 22 (n=91,89)-6.97 mmHgStandard Deviation 10.589
LCZ696Change From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) Status in Non-dippersmsDBP, hour 23 (n=92,85)-5.72 mmHgStandard Deviation 9.41
LCZ696Change From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) Status in Non-dippersmsDBP, hour 24 (n=86,85)-6.57 mmHgStandard Deviation 9.916
OlmesartanChange From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) Status in Non-dippersmaSBP, hour 15 (n=92,89)-5.92 mmHgStandard Deviation 17.627
OlmesartanChange From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) Status in Non-dippersmaSBP, hour 3 (n=90,88)-6.33 mmHgStandard Deviation 17.694
OlmesartanChange From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) Status in Non-dippersmaSBP, hour 11 (n=92,89)-6.89 mmHgStandard Deviation 16.115
OlmesartanChange From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) Status in Non-dippersmsDBP, hour 20 (n=92,89)-3.10 mmHgStandard Deviation 9.792
OlmesartanChange From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) Status in Non-dippersmaSBP, hour 12 (n=92,88)-3.92 mmHgStandard Deviation 17.244
OlmesartanChange From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) Status in Non-dippersmaSBP, hour 16 (n=92,89)-6.57 mmHgStandard Deviation 18.512
OlmesartanChange From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) Status in Non-dippersmaSBP, hour 19 (n=91,89)-9.33 mmHgStandard Deviation 17.027
OlmesartanChange From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) Status in Non-dippersmsDBP, hour 10 (n=92,89)-3.14 mmHgStandard Deviation 10.849
OlmesartanChange From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) Status in Non-dippersmaSBP, hour 20 (n=92,89)-6.77 mmHgStandard Deviation 16.228
OlmesartanChange From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) Status in Non-dippersmaSBP, hour 22 (n=91,89)-6.05 mmHgStandard Deviation 15.806
OlmesartanChange From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) Status in Non-dippersmaSBP, hour 17 (n=92,89)-12.03 mmHgStandard Deviation 18.99
OlmesartanChange From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) Status in Non-dippersmaSBP, hour 23 (n=92,85)-8.48 mmHgStandard Deviation 16.76
OlmesartanChange From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) Status in Non-dippersmsDBP, hour 17 (n=92,89)-5.44 mmHgStandard Deviation 11.105
OlmesartanChange From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) Status in Non-dippersmsDBP, hour 1 (n=84,84)-4.59 mmHgStandard Deviation 10.061
OlmesartanChange From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) Status in Non-dippersmaSBP, hour 18 (n=92,88)-8.54 mmHgStandard Deviation 17.397
OlmesartanChange From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) Status in Non-dippersmsDBP, hour 2 (n=89,85)-3.32 mmHgStandard Deviation 11.104
OlmesartanChange From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) Status in Non-dippersmsDBP, hour 11 (n=92,89)-3.18 mmHgStandard Deviation 10.216
OlmesartanChange From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) Status in Non-dippersmsDBP, hour 3 (n=90,88)-3.77 mmHgStandard Deviation 12.284
OlmesartanChange From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) Status in Non-dippersmsDBP, hour 23 (n=92,85)-2.12 mmHgStandard Deviation 11.612
OlmesartanChange From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) Status in Non-dippersmsDBP, hour 4 (n=91,88)-2.24 mmHgStandard Deviation 11.169
OlmesartanChange From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) Status in Non-dippersmsDBP, hour 14 (n=92,88)-1.69 mmHgStandard Deviation 11.103
OlmesartanChange From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) Status in Non-dippersmaSBP, hour 21 (n=91,89)-7.10 mmHgStandard Deviation 17.961
OlmesartanChange From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) Status in Non-dippersmsDBP, hour 18 (n=92,88)-4.25 mmHgStandard Deviation 11.062
OlmesartanChange From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) Status in Non-dippersmsDBP, hour 12 (n=92,88)-1.61 mmHgStandard Deviation 10.97
OlmesartanChange From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) Status in Non-dippersmsDBP, hour 21 (n=91,89)-2.81 mmHgStandard Deviation 11.002
OlmesartanChange From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) Status in Non-dippersmaSBP, hour 24 (n=86,85)-7.98 mmHgStandard Deviation 16.16
OlmesartanChange From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) Status in Non-dippersmaSBP, hour 1 (n=84,84)-9.53 mmHgStandard Deviation 18.224
OlmesartanChange From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) Status in Non-dippersmsDBP, hour 22 (n=91,89)-2.60 mmHgStandard Deviation 10.568
OlmesartanChange From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) Status in Non-dippersmaSBP, hour 2 (n=89,85)-8.57 mmHgStandard Deviation 17.848
OlmesartanChange From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) Status in Non-dippersmsDBP, hour 13 (n=92,89)-2.41 mmHgStandard Deviation 10.75
OlmesartanChange From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) Status in Non-dippersmaSBP, hour 4 (n=91,88)-4.98 mmHgStandard Deviation 16.155
OlmesartanChange From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) Status in Non-dippersmsDBP, hour 5 (n=90,88)-1.53 mmHgStandard Deviation 12.069
OlmesartanChange From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) Status in Non-dippersmaSBP, hour 5 (n=90,88)-4.68 mmHgStandard Deviation 16.264
OlmesartanChange From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) Status in Non-dippersmsDBP, hour 19 (n=91,89)-3.93 mmHgStandard Deviation 11.088
OlmesartanChange From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) Status in Non-dippersmaSBP, hour 6 (n=90,89)-5.49 mmHgStandard Deviation 18.843
OlmesartanChange From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) Status in Non-dippersmsDBP, hour 6 (n=90,89)-2.00 mmHgStandard Deviation 11.418
OlmesartanChange From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) Status in Non-dippersmaSBP, hour 7 (n=91,89)-6.64 mmHgStandard Deviation 17.191
OlmesartanChange From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) Status in Non-dippersmsDBP, hour 15 (n=92,89)-2.85 mmHgStandard Deviation 11.012
OlmesartanChange From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) Status in Non-dippersmaSBP, hour 8 (n=91,88)-7.45 mmHgStandard Deviation 17.912
OlmesartanChange From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) Status in Non-dippersmsDBP, hour 7 (n=91,89)-1.70 mmHgStandard Deviation 11.797
OlmesartanChange From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) Status in Non-dippersmaSBP, hour 9 (n=91,89)-7.81 mmHgStandard Deviation 16.968
OlmesartanChange From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) Status in Non-dippersmsDBP, hour 24 (n=86,85)-3.91 mmHgStandard Deviation 9.24
OlmesartanChange From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) Status in Non-dippersmaSBP, hour 10 (n=92,89)-7.63 mmHgStandard Deviation 18.62
OlmesartanChange From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) Status in Non-dippersmsDBP, hour 8 (n=91,88)-3.04 mmHgStandard Deviation 11.24
OlmesartanChange From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) Status in Non-dippersmsDBP, hour 16 (n=92,89)-2.54 mmHgStandard Deviation 11.523
OlmesartanChange From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) Status in Non-dippersmaSBP, hour 13 (n=92,89)-5.49 mmHgStandard Deviation 18.209
OlmesartanChange From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) Status in Non-dippersmsDBP, hour 9 (n=91,89)-3.62 mmHgStandard Deviation 10.743
OlmesartanChange From Baseline in maSBP and maDBP Lowering Based on Nocturnal BP Dipping (Dipper Versus Non-dipper) Status in Non-dippersmaSBP, hour 14 (n=92,88)-5.16 mmHgStandard Deviation 16.856
Secondary

Change From Baseline in Mean 24 Hour Ambulatory Systolic Blood Pressure (maSBP)

ABPM over a 24-hour period was conducted at two time-points during the study in a subset of participants. Readings were taken every 20 minutes over the 24 hour period in the non-dominant arm. A negative change from baseline indicates improvement.

Time frame: Baseline, 10 weeks

Population: A subset of participants, who participated in ambulatory blood pressure monitoring, was analyzed.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
LCZ696Change From Baseline in Mean 24 Hour Ambulatory Systolic Blood Pressure (maSBP)-14.23 mmHgStandard Error 0.56
OlmesartanChange From Baseline in Mean 24 Hour Ambulatory Systolic Blood Pressure (maSBP)-9.14 mmHgStandard Error 0.56
Secondary

Change From Baseline in Mean Sitting Diastolic Blood Pressure (msDBP)

Sitting BP measurements was performed at trough (immediately prior to dosing at the clinic). At study entry, BP was measured in both arms. The arm with the higher SBP reading was used for the 4 measurements at screening visit and the same arm was used at all subsequent visits. A negative change from baseline indicates improvement.

Time frame: Baseline, 10 weeks

Population: Participants from the full analysis set (FAS), who had both baseline and week 10 values, were included in the analysis. The FAS included all participants who received study medication and had post baseline BP assessments.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
LCZ696Change From Baseline in Mean Sitting Diastolic Blood Pressure (msDBP)-8.58 mmHgStandard Error 0.47
OlmesartanChange From Baseline in Mean Sitting Diastolic Blood Pressure (msDBP)-6.49 mmHgStandard Error 0.48
Secondary

Change From Baseline in Mean Sitting Pulse Pressure

Pulse rate was with automated BP device after the 4th blood pressure measurement at each visit.

Time frame: Baseline, 4 weeks, 10 weeks, 14 weeks

Population: Participants from the full analysis set (FAS), who had both baseline and post baseline values at the given time point, were included in the analysis. The FAS included all participants who received study medication and had post baseline BP assessments.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
LCZ696Change From Baseline in Mean Sitting Pulse Pressureweek 4-11.57 mmHgStandard Error 0.6
LCZ696Change From Baseline in Mean Sitting Pulse Pressureweek 10-14.21 mmHgStandard Error 0.63
LCZ696Change From Baseline in Mean Sitting Pulse Pressureweek 14-14.65 mmHgStandard Error 0.64
OlmesartanChange From Baseline in Mean Sitting Pulse Pressureweek 4-10.38 mmHgStandard Error 0.61
OlmesartanChange From Baseline in Mean Sitting Pulse Pressureweek 10-9.76 mmHgStandard Error 0.64
OlmesartanChange From Baseline in Mean Sitting Pulse Pressureweek 14-10.90 mmHgStandard Error 0.65
Secondary

Change From Baseline in Mean Sitting Systolic Blood Pressure (msSBP) and Mean Sitting Diastolic Blood Pressure (msDBP)

Sitting BP measurements were performed at trough (immediately prior to dosing at the clinic). At study entry, BP was measured in both arms. The arm with the higher SBP reading was used for the 4 measurements at screening visit and the same arm was used at all subsequent visits. A negative change from baseline indicated improvement.

Time frame: Baseline, 4 weeks, 14 weeks

Population: Participants from the full analysis set (FAS), who had both baseline and post baseline values at each given time point, were included in the analysis. The FAS included all participants who received study medication and had post baseline BP assessments.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
LCZ696Change From Baseline in Mean Sitting Systolic Blood Pressure (msSBP) and Mean Sitting Diastolic Blood Pressure (msDBP)msSBP, week 4-17.64 mmHgStandard Error 0.83
LCZ696Change From Baseline in Mean Sitting Systolic Blood Pressure (msSBP) and Mean Sitting Diastolic Blood Pressure (msDBP)msDBP, week 4-6.08 mmHgStandard Error 0.44
LCZ696Change From Baseline in Mean Sitting Systolic Blood Pressure (msSBP) and Mean Sitting Diastolic Blood Pressure (msDBP)msSBP, week 14-22.53 mmHgStandard Error 0.92
LCZ696Change From Baseline in Mean Sitting Systolic Blood Pressure (msSBP) and Mean Sitting Diastolic Blood Pressure (msDBP)msDBP, week 14-7.92 mmHgStandard Error 0.49
OlmesartanChange From Baseline in Mean Sitting Systolic Blood Pressure (msSBP) and Mean Sitting Diastolic Blood Pressure (msDBP)msDBP, week 14-5.97 mmHgStandard Error 0.49
OlmesartanChange From Baseline in Mean Sitting Systolic Blood Pressure (msSBP) and Mean Sitting Diastolic Blood Pressure (msDBP)msSBP, week 4-15.81 mmHgStandard Error 0.84
OlmesartanChange From Baseline in Mean Sitting Systolic Blood Pressure (msSBP) and Mean Sitting Diastolic Blood Pressure (msDBP)msSBP, week 14-16.75 mmHgStandard Error 0.94
OlmesartanChange From Baseline in Mean Sitting Systolic Blood Pressure (msSBP) and Mean Sitting Diastolic Blood Pressure (msDBP)msDBP, week 4-5.58 mmHgStandard Error 0.45
Secondary

Change in Baseline in Mean 24 Hour Ambulatory Diastolic Blood Pressure (maDBP)

ABPM over a 24-hour period was conducted at two time-points during the study in a subset of participants. Readings were taken every 20 minutes over the 24 hour period in the non-dominant arm. A negative change from baseline indicates improvement.

Time frame: Baseline, 10 weeks

Population: A subset of participants, who participated in ambulatory blood pressure monitoring, was analyzed.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
LCZ696Change in Baseline in Mean 24 Hour Ambulatory Diastolic Blood Pressure (maDBP)-6.95 mmHgStandard Error 0.31
OlmesartanChange in Baseline in Mean 24 Hour Ambulatory Diastolic Blood Pressure (maDBP)-4.47 mmHgStandard Error 0.31
Secondary

Number of Participants Achieving Overall Blood Pressure Control in Mean Sitting Systolic Blood Pressure (msSBP) and Mean Sitting Diastolic Blood Pressure (msDBP)

A successful response in overall BP control rate was defined as msSBP \< 140 mmHg and msDBP \<90 mmHg.

Time frame: 4 weeks, 10 weeks, 14 weeks

Population: Participants from the full analysis set (FAS), who had both baseline and post baseline values at each given time point, were included in the analysis. The FAS included all participants who received study medication and had post baseline BP assessments.

ArmMeasureGroupValue (NUMBER)
LCZ696Number of Participants Achieving Overall Blood Pressure Control in Mean Sitting Systolic Blood Pressure (msSBP) and Mean Sitting Diastolic Blood Pressure (msDBP)14 weeks173 Participants
LCZ696Number of Participants Achieving Overall Blood Pressure Control in Mean Sitting Systolic Blood Pressure (msSBP) and Mean Sitting Diastolic Blood Pressure (msDBP)4 weeks140 Participants
LCZ696Number of Participants Achieving Overall Blood Pressure Control in Mean Sitting Systolic Blood Pressure (msSBP) and Mean Sitting Diastolic Blood Pressure (msDBP)10 weeks175 Participants
OlmesartanNumber of Participants Achieving Overall Blood Pressure Control in Mean Sitting Systolic Blood Pressure (msSBP) and Mean Sitting Diastolic Blood Pressure (msDBP)10 weeks130 Participants
OlmesartanNumber of Participants Achieving Overall Blood Pressure Control in Mean Sitting Systolic Blood Pressure (msSBP) and Mean Sitting Diastolic Blood Pressure (msDBP)14 weeks126 Participants
OlmesartanNumber of Participants Achieving Overall Blood Pressure Control in Mean Sitting Systolic Blood Pressure (msSBP) and Mean Sitting Diastolic Blood Pressure (msDBP)4 weeks120 Participants
Secondary

Number of Participants Achieving Successful Response in msSBP and msDBP

Blood pressure response in msSBP was defined as a mean sitting BP \< 140 mmHg or a \>=20 mmHg reduction from baseline. Blood pressure response in msDBP was defined as a mean sitting diastolic blood pressure, 90 mmHg or \>=10 mmHg reduction from baseline.

Time frame: 4 weeks,10 weeks, 14 weeks

Population: Participants from the full analysis set (FAS), who had both baseline and post baseline values at each given time point, were included in the analysis. The FAS included all participants who received study medication and had post baseline BP assessments.

ArmMeasureGroupValue (NUMBER)
LCZ696Number of Participants Achieving Successful Response in msSBP and msDBPmsSBP, week 4162 Participants
LCZ696Number of Participants Achieving Successful Response in msSBP and msDBPmsSBP, week 10208 Participants
LCZ696Number of Participants Achieving Successful Response in msSBP and msDBPmsSBP, week 14205 Participants
LCZ696Number of Participants Achieving Successful Response in msSBP and msDBPmsDBP, week 4264 Participants
LCZ696Number of Participants Achieving Successful Response in msSBP and msDBPmsDBP, week 10275 Participants
LCZ696Number of Participants Achieving Successful Response in msSBP and msDBPmsDBP, week 14268 Participants
OlmesartanNumber of Participants Achieving Successful Response in msSBP and msDBPmsDBP, week 10254 Participants
OlmesartanNumber of Participants Achieving Successful Response in msSBP and msDBPmsSBP, week 4146 Participants
OlmesartanNumber of Participants Achieving Successful Response in msSBP and msDBPmsDBP, week 4245 Participants
OlmesartanNumber of Participants Achieving Successful Response in msSBP and msDBPmsSBP, week 10142 Participants
OlmesartanNumber of Participants Achieving Successful Response in msSBP and msDBPmsDBP, week 14246 Participants
OlmesartanNumber of Participants Achieving Successful Response in msSBP and msDBPmsSBP, week 14144 Participants
Secondary

Number of Participants With Adverse Events, Serious Adverse Events and Death

Adverse event monitoring was conducted throughout the study.

Time frame: 14 weeks

Population: Participants from the safety analysis set were analyzed. The safety analysis set included all randomized participants who received study medication and had post baseline assessments.

ArmMeasureGroupValue (NUMBER)
LCZ696Number of Participants With Adverse Events, Serious Adverse Events and DeathSerious adverse events7 Participants
LCZ696Number of Participants With Adverse Events, Serious Adverse Events and DeathAdverse events (non-serious and serious)141 Participants
LCZ696Number of Participants With Adverse Events, Serious Adverse Events and DeathDeaths0 Participants
OlmesartanNumber of Participants With Adverse Events, Serious Adverse Events and DeathAdverse events (non-serious and serious)113 Participants
OlmesartanNumber of Participants With Adverse Events, Serious Adverse Events and DeathSerious adverse events2 Participants
OlmesartanNumber of Participants With Adverse Events, Serious Adverse Events and DeathDeaths0 Participants

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026